Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A102340 | CA |
NPI | 1003028556 |
---|---|
Provider Name | Dr. Neda Heidari |
First Address | Oxnard, CA 93030-8228 |
Second Address | Oxnard, CA 93030-8228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 09/12/2014 |